NPI | 1467730689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 64628) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WA PH60157459) |
1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 64628) | |
Enumeration Date | 2011-07-22 |
Last Update Date | 2022-07-15 |